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Complaint Investigation

Edenbrook At Hampton

July 2, 2024 · Wilkes Barre, PA · 1548 Sans Souci Parkway
Citations 2
CMS Rating 2/5
Beds 104
Provider ID 395249
Healthcare Facility
Edenbrook At Hampton
Wilkes Barre, PA  ·  View full profile →
Inspection Summary

EDENBROOK AT HAMPTON in WILKES BARRE, PA — inspection on July 2, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 48276 Few and resident and staff interviews, it was determined that the facility failed to timely and thoroughly investigate affected

Review of Resident C1's significant change Minimum Data Set (MDS - federally mandated standardized assessment process completed periodically to plan resident care), dated [DATE], indicated the resident was moderately cognitively impaired with a BIMS (Brief Interview for Mental Status) score of 9 (a score of 8- 12 indicates moderately impaired), displayed physical and verbal behaviors, and required two plus persons physical assistance for bed mobility and transfers.

395249

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395249 B.

Wing 07/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Edenbrook at Hampton 1548 Sans Souci Parkway Wilkes Barre, PA 18702

During an interview with Resident B1 on July 2, 2024 at 10:10 AM, she reported that staff sometimes don't give me a shower.

They don't tell me nothing, they just don't come. I didn't get a shower on Friday (June 28).

A review of the June 2024 Documentation Survey Report v2 (care tasks completed for the resident) revealed that the resident was scheduled to be showered on Tuesdays and Fridays, on the dayshift.

The Documentation Survey Report v2 dated from June 1, 2024, through June 30, 2024, revealed that Resident B1 did not receive a shower on Friday, June 14 and Friday, June 28, 2024.

There was no documented evidence that the resident refused a shower.

There was no documented evidence that the facility showered the resident twice each week as planned.

There was no documented evidence that the resident refused a shower.

A review of Resident B2's clinical record revealed that the resident was admitted to the facility on [DATE] with diagnosis to include Parkinson's disease (a disorder of the central nervous system), and bipolar disorder.

A quarterly MDS of Resident B2 dated May 5, 2024, indicated that the resident required supervision/touching assistance for showering/bathing and had a BIMS score of 15.

A review of the June 2024 Documentation Survey Report v2 revealed that the resident was scheduled to be showered on Wednesdays and Saturdays, on the evening shift 3 PM to 11 PM shift.

395249

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395249 B.

Wing 07/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Edenbrook at Hampton 1548 Sans Souci Parkway Wilkes Barre, PA 18702

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WILKES BARRE, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDENBROOK AT HAMPTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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